Orthosis Flashcards
An external device that improves function by
Stabilizing unstable segment
Assisting weak motions
Stopping indesired motion
Orthosis
Type of pitch for pxs with partial foot amputation
Low pitch
Used to accommodate toe deformity
Toe box
Part of the shoe that facilitates toe off or push off
Toe spring
Throat style where in the vamps covers the quarter
Balmoral
Throat style where in the quarter lies over the vamp
Blucher
Throat style that has the greatest ease in donning
Lace to toe
Most common style of throat used for orthopedic shoes
Blucher
Shape of the shoe
Last
A non adjustable closure
Zipper
For pxs with
LLA weakness
Ankle varus
Reverse thomas heel
For pxs with
MLA weakness
Ankle valgus
Thomas heel
Types of adjustable closure
Shoe lace
Velcro
Posterior entrance
Types of heels
Spring
Oxford
Military
Cuban
Height of spring heel
1/8 inch
Height of oxford heel
6-8/8
Height of oxford
6-8/8
Height of military heel
10/8
Height of cuban heel
12/8
Internal modification to relieve heel stress or pain
Heel cushion
External modification to relieve heel stress or pain and found between a thin heel
SACH(solid ankle cushion heel)
A internal modification that relieves pain at 2nd-4th metatarsal heads
Metatarsal pad or internal metatarsal bar
Metatarsal pad other name
internal metatarsal bar
Pain at metatarsals
Metatarsalgia
Internal modification that relieves pain onky at the 3rd metatarsal
U-shaped pad
Internal modification to relieve pain at 1st metatarsal head(located proximally)
Sasamoid pad
Internal modification to relieve pain at the 1st metatarsal head(located distally)
Mortons extension
External modification for the 1st-5th metatarsal heads
Metatarsal bar
Internal modification to relieve toe pain
Toe crest
Internal modification to relieve pain at the toe and has a sulcus behind 2nd-4th toes(located proximally)
Toe crest
Internal modification that gives support to MLA
Scaphoid pad/navicular pad/cookie pads
External modification that support MLA
Steel shank
Gives support to MLA that has a medial heel breast
Thomas heel
Modification for Leg length discrepancy of <1in
Heel elevation
Modification for Leg length discrepancy of >1inch
Shoe elevation/sole elevation
Abducted everted and pronated foot is in valgus/varus
Valgus
Adducted inverted and supinated foot is in valgus/varus
Varus
Corrects forefoot/rearfoort varus
Medial heel wedge/flare
Code: Lavarus Medieval
Corrects forefoot/rear foot valgus
Lateral heel wedge/flare
Code:Lavarus Medieval
Corrects forefoot valgus?
Posting/promotes:?
Medial sole wedge/flare
Varus posting
Corrects forefoot varus
Posting/promotes:?
Lateral wedge
Valgus posting
Example
What are the modifications for pxs with R rearfoot valgus plus forefoot varus
Rearfoot(corrective)
-medial heel wedge(promotes varus posting)
Forefoot(adaptive)
-medial sole wedge(promotes varus posting)
AFO components
CATS Calf band Ankle joint Two lateral uprights Shoe/foot attachments
Shoe or foot attachment that is attached to the SHANK
Its mechanical ankle joint corresponds to the anatomical ankle joint
Stirrup
Narrowest part of the shoe
Shank
Most commonly used shoe or foot attachment
Stirrup
Shoe or foot attachment that is attached to the HEEL
Its mechanical ankle joint is located DISTAL to the anatomic ankle joint
Caliper
Shoe or foot attachment that is attached to the STIRRUP
Used for extensive ankle control
Shoe insert
Types of ankle joint axes
Single
Polycentric
Ankle joint axis that permits DF and PF
Single axis
Ankle joint axes that permits DF PF inversion eversion and slight transverse rotation
Polycentric axis
Akle stop that is located anteriorly
Posterior/PF stop
Ankle stop that is located anteriorly
Anterior/DF stop
Ankle stop that is located both anterior and posterior
Limited stops/DF-PF stops
Ankle stop that is used for pxs with a calcaneal gait
Anterior/DF stop
t strap that corrects valgus
Medial t strap
T strap that corrects varus
Lateral t strap
Plastic design AFO that is commonly used for px with weak DF
Restricts PF
Post leaf spring(PLS)
Plastic design AFO that restricts both DF and PF
Modified post leaf spring
Plastic design AFO that makes afill turn around the leg
Restricts DF-PF,inv-ever but allows transverse rotation
Starts at the medial knee
Spiral afo
Plastic design AFO that makes a half turn around the leg
Starts at the lateral aspect of the knee to medial malleolus to plantar aspect
Hemispiral afo
Plastic design AFO intended for pxs with equinovarus
Hemispiral afo
Plastic design AFO that restricts DF-PF, inv-ever and holds the ankle to a pre determined position
Solid ankle afo
Plastic design AFO that is used for maximum ankle valgus-varus control
AFO with flange
KAFO components
ATTK Afo Two thigh uprights Two thigh bands Knee joint
Most commonly used knee joint axes
Single axis
Knee ankle joint axis that allows knee fexion and extention with slight transverse rotation
Polycentric axis
Knee lock that has no restraint in motion but with HYPEREXTENTION STOP
Free motion knee lock
Knee lock that is most commonly used to control knee flexion during toe off
Drop ring lock
How many degrees of knee flexion that permits toe off
40 degrees
Knee lock that is easier to use than drop ring lock bacause of the presence of bail control
Pawl lock
Knee joint or lock located posterior to the anatomic knee joint
Offset knee joint
Knee lock used for gradual stratching of knee flexor contrature
Adjustable knee lock
Ex. Serrated adjustable knee lock
A variation of a typical KAFO that helps SCi pxs to stand and walk without an additional hip orthosis
Scott craig orthosis
Scott craig orthosis key design
10 degrees DF(NYU)
15 degrees DF(braddom)
A position where in ankle is in DF and hip or trunk compensates
Jack knife position
Knee orthosis for patello femoral disorder that have supra and infra patellar straps
Palumbo knee orthosis
Knee orthosis for patello femoral disorder that has infra patellar strap
Patello femoral knee orthosis
